Dr Jack J Clark, DC in Fort Wayne, IN - Medicare Chiropractic Provider

Dr Jack J Clark, DC is a medicare enrolled "Chiropractor" provider in Fort Wayne, Indiana. He went to Western States College Of Chiropractic and graduated in 1980 and has 44 years of diverse experience with area of expertise as Chiropractic. His current practice location is 6015 E State Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 486-1886.

Dr Jack J Clark is licensed to practice in Indiana (license number 08000717A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902881014.

Contact Information

	Dr Jack J Clark, DC
	6015 E State Blvd, Fort Wayne, IN 46815-7638
	(260) 486-1886
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack J Clark
Gender	Male
Speciality	Chiropractic
Experience	44 Years
Location	6015 E State Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack J Clark attended and graduated from Western States College Of Chiropractic in 1980

NPI Data:

NPI Number: 1902881014
Provider Enumeration Date: 12/12/2005
Last Update Date: 06/22/2010

Medicare PECOS Information:

PECOS PAC ID: 4183806193
Enrollment ID: I20110314000056

Medical Identifiers

Medical identifiers for Dr Jack J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902881014	NPI	-	NPPES
100289660A	Medicaid	IN
000000086699	Other	IN	BLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	08000717A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack J Clark allows following entities to bill medicare on his behalf.

Provider Name	Jack J. Clark, D.c.p.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083820302 PECOS PAC ID: 3173706231 Enrollment ID: O20110328000090

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack J Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jack J Clark, DC 6015 E State Blvd, Fort Wayne, IN 46815-7638 Ph: (260) 486-1886	Dr Jack J Clark, DC 6015 E State Blvd, Fort Wayne, IN 46815-7638 Ph: (260) 486-1886

Reviews and Comments

Chiropractor in Fort Wayne, IN

Dr. George Charles Joachim, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: Aaron Chiropractic Clinic, 3476 Stellhorn Rd., Fort Wayne, IN 46815 Phone: 260-492-8811 Fax: 260-492-0073
Bull Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7910 Coldwater Rd, Fort Wayne, IN 46825 Phone: 260-489-3636 Fax: 260-489-3611
Dr. Margaret Grace Hughes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6388 W Jefferson Blvd Ste B, Fort Wayne, IN 46804 Phone: 260-432-9355 Fax: 260-434-0835
Dr. Daniel Steven Miller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10528 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-338-1700
Natures Way Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5940 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8899 Fax: 260-436-1522
Dr. Kimberly A Keys, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2422 Lake Ave, Park Lake Medical Building, Fort Wayne, IN 46805 Phone: 260-420-8803 Fax: 260-420-6814
Fitch Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3010 E. State Blvd, Suite 500, Fort Wayne, IN 46805 Phone: 260-471-7493 Fax: 260-471-6935

Dr Jack J Clark, DC - Medicare Chiropractor in Fort Wayne, IN